ISCEV extended protocol for the S-cone ERG

Ido Perlman, Mineo Kondo, Enid Chelva, Anthony G. Robson, Graham E. Holder

Research output: Contribution to journalArticlepeer-review

Abstract

The International Society for Clinical Electrophysiology of Vision (ISCEV) standard for full-field electroretinography (ERG) describes a minimum procedure for testing generalized retinal function but encourages more extensive testing. This extended protocol describes a method of assessing the function of the short-wavelength-sensitive cone (S-cone) retinal pathway, using a short-wavelength flash superimposed on a background that saturates the rods and adapts the L/M-cones to elicit a response, known as the S-cone ERG. Stimulus parameters such as the strength and luminance of the flash and background, respectively, and their spectral and temporal characteristics are specified. As a complement to the ISCEV standard, testing the S-cone ERG enables further characterization of light-adapted retinal function and may refine diagnosis of some retinal disorders. Typical applications are described including use in the diagnosis of rod monochromacy and S-cone monochromacy, identification and investigation of cone On-bipolar cell dysfunction and use of the technique to confirm the diagnosis of enhanced S-cone syndrome.

Original languageEnglish
Pages (from-to)95-101
Number of pages7
JournalDocumenta Ophthalmologica
Volume140
Issue number2
DOIs
StatePublished - 1 Apr 2020

Keywords

  • Clinical standards
  • Electroretinogram (ERG)
  • Full-field ERG
  • International Society for Clinical Electrophysiology of Vision (ISCEV)
  • Retinal dystrophy
  • Retinopathy
  • S-cone ERG
  • Short-wavelength-sensitive cone ERG

ASJC Scopus subject areas

  • Ophthalmology
  • Sensory Systems
  • Physiology (medical)

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